The Acupuncture Combined With Flexion Alternately The Low Frequency Electricity Treatment To Promote Stroke The Upper Limb Function Restore Clinical Research

Abjective:The influence which the objective evaluation and compares the t acupuncture reatment and the acupuncture union expands and contracts the low frequency electricity to treat two methods alternately after the apoplexy the upper limb function restores, enhances the clinical curative effect.Methods:Select 60 cases of patients with cerebral apoplexy, randomly divided into two groups.①control group::Gives the scalp acupuncture and the acupuncture treatment, the Acupoints basis "Yu the forehead acupoint seven area allocation methods", Choose perietal region and perietal proparea, keep the needles 6 hour per day according to scalp acupuncture. The acupuncture takes the LI14, LI15, LI10,SJ5 etc acupoints. The scalp acupuncture and the acupuncture are all connect to the piquada simultaneously,selects the continuous wave, the frequency is 2Hz, each time 30 minutes,2 times each day.②experimental group:Acupoints selection and piquada method same with control group. And give flexion alternately the low frequency electricity treatment, select the Intermittent wave, the frequency is 50Hz, each time last 20 minutes,once per day. Before and after treatment were collected in patients with wrist, elbows activities initiative muscle corresponding sEMG (sEMG), extract the maximum value (MAX), integral EMG (IEMG); Record range of motion ROM, upper limb movement。function (Fugl-Meyer) score and life activity ability (Barthel ADL) score, the comprehensive evaluation of electrical physiology function, muscle of upper limb movement function and daily life activities. And the neural function defect score (CSS) determine the clinical curative effect of different treatments.Results:1. When stretch elbows,the triceps brachii MAX, IEMG of the injured side which compared with the uninjured side separately reduced 23.79% and 22.29%. when Elbow flexion, the lateral biceps brachii MAX, IEMG of the injured side which compared with the uninjured side separately reduced 23.77% and 32.48%. The injured side and the uninjured side compares, has the significance difference (P<0.05)2. When the wrist back extends, compared to the uninjured side, Wrist extensor muscles MAX, IEMG of the injured side separately reduced 24.54% and 39.06%. When the wrist palm bends, compared to the uninjured side, Wrist flexor muscles MAX, IEMG of the injured side separately reduced 27.09% and 27.21%3. After the treatment, MAX and IEMG of all of the movement active muscles are significantly increased. Compared each group before and after the treatment has the significance difference(p<0.05). Before and after treatment with IEMG and MAX value is the difference between groups compared,the experimental group Are superior to the control group has the significant difference(P<0.05).4. After treatment, two groups Fugl-Meyer scores are improved,Both groups were compared before and after the treatment, with significant differences (P<0.05),Before and after treatment with Fugl-Meyer score on the difference in value between groups compared,the experimental group is superior to the control group,Has the significant difference(P<0.05)5. After treatment, two groups Barthel ADL scores are improved,Both groups were compared before and after the treatment, with significant differences (P<0.05),Before and after cerebellum's treatment with Barthel ADL score on the difference in value between groups compared,the experimental group is superior to the control group,Has significant difference(P<0.05).6. Through the neural function defect score (Upper limb) display, experimental Group total effectiveness is 86.67%, Significantly higher than control group.Conclusion: 1. sEMG can objectively evaluate patients with cerebral apoplexy upper body strength.2. Cupping treatment can promote the upper limb function after stroke recovery.3. Cupping combined with low frequency electric treatment flexion alternate with lateral upper limb muscle can improve, Increased the risk of lateral upper limbs arom, and improve bilateral upper limb movement function and with daily life activities. Clinical curative effect is better than pure cupping therapy. the Curative effect produced is related to improve the electric physiology function of active muscles.